CPC has infant and toddler child care on Sunday mornings as well as fun classes for 3 year olds through 5th graders.  If you and your kids are planning to visit, this is the form you can fill out now or when you arrive.

  • Step 1: Parent or Guardian

  • Date Format: MM slash DD slash YYYY
  • STEP 2 Address Information (primary residence of child)

  • STEP 3 Child 1

  • Date Format: MM slash DD slash YYYY
  • Child 2

  • Date Format: MM slash DD slash YYYY
  • Child 3

  • Date Format: MM slash DD slash YYYY
  • STEP 4 Authorization

  • I understand and authorize that my child's image may be photographed and/or filmed and may be used in video, print and/or online publications including the church's website. By giving my email address, I understand that I will be added to Centreville Presbyterian Church's mailing list. CPC will not give your personal information to any third parties.